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Home My WebLink AboutElevation CertificateU.S.-bEPARTMENT OF HOMELAND SECURITY "Pederal Emergency Management Agency National Flood Insurance Program OMB No. 1660-0008 Expiration Date: November 30, 2018 ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: TURNER A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number. Box No. 10725 SOUTH OCEAN DRIVE #386 City State ZIP Code JENSEN BEACH FLORIDA 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 24, BLOCK S, HOLIDAY OUT SECTION B A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°16'15.8"N Long.-80°12'25.1" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 5 A8. For a building with a crawispace or enclosure(s): a) Square footage of crawispace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawispace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes . ® No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings'in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State bNINCORP 1202M ST. LUCIE FLORIDA B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Z 111 J Revised Date AE Flood Depth) C7'L,1lo 1 !Z O7, 7.0 1310. Indicate the source of the Base Flood Elevation..(BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Pagel of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 - IMPORTANT: In these spaces, copy the corresponding information from Section A.' FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 10725 SOLiTH OCEAN DRIVE #386 City State ZIP Code Company NAIC Number JENSEN BEACH FLORIDA 34957 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based -on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones Al A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, AR/AE, AR/A1 A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: 94 77 A04 FLDT Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 7 3 ® feet ❑ meters b) Top of the next higher floor N / A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) , N / A ❑ feet ❑ meters d) Attached garage (top of slab) N / A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 7 0 ® feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 3 7 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 3 8 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N / A ❑ feet ❑ meters structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statementmay be punishable by fine orimprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ® Check here if attachments. Certifier's Name License Number JOB # 2322-02-01 EARLE R. STARKEY PLS #004459 Title PROFESSIONAL LAND SURVEYOR Company Name ACCURIGHT LAND SURVEYING INC. Address 1501 DECKER AVENUE #419 City State ZIP Code 10/17/2016 STUARTFL 34994 PLS #004459 Sign ' Date 'Telephone 10/17/2016 772-286-7694 Copy all pages of this on Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) C2-E A/C PLATFORM FEMA Form 086-0-33' (7/15) Replaces all previous editions. Form Page 2 of b Building Photogr See Instructions for Item Insurance BL ildhg Street Address {including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Poacy numner 10725 SOUTH OCEAN DRIVE #386 _ State FLORIDA If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, 'Right Side view" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. FRONT 10/17/2016 REAR 10/17/2016 SIDE 10/17/2016